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UHAIN OF CUSTODY <br />Special www.fglinc.com <br />Laboratory Copy (paof 3) <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />35731:08/02/2021 <br />Santa Paula, CA 93060 <br />EST DESCRIPTION - See Reverse side for Container, Preservative and Sam ling <br />information <br />Tent: San Jbaq' County EHD <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />n <br />Adress: San 1paquin o. Environmental Health Dep <br />v <br />Water Quali Division <br />.j <br />° <br />Atm: Micha I Kith <br />x <br />1868 Zast Hazelton Ave. <br />H <br />u <br />Stockton, CA. 95205 <br />3 <br />a <br />hone: (209)468-3444 Fax: <br />w <br />a <br />�_ <br />a <br />'ontact Person: Michael Kith <br />y <br />Q <br />v�+ <br />roject Name: <br />�P/ <br />o <br />(N( ! ✓1Ct <br />urchase Order Number: <br />u <br />a <br />> <br />0 <br />pote Number: <br />oG <br />w <br />� <br />a <br />O <br />A <br />'•ampler(s) <br />o <br />ampling Fee: Pickup Fee: <br />op <br />v <br />�a <br />•[ a <br />y'o <br />Q <br />'ompositor Setup Date: _/—/_ Time: —/— <br />`o <br />E <br />E <br />N <br />z <br />a <br />O <br />$ K <br />�.. <br />ab Number: STK <br />3-17919 <br />-s <br />o <br />K <br />H <br />1:4 <br />'� v <br />o� <br />a E <br />imp <br />Date <br />Time <br />4um <br />Location Description <br />Sampled <br />Sample <br />E~ <br />0 <br />m <br />O <br />r'n <br />I <br />e-e(e h&&/— <br />G <br />DW <br />Sub -3 <br />ZZ <br />Relinquished Date: Time: R rtqu► ed Daa Time: Relinquished Date: Time: <br />marks! <br />44 1A-- 7: -/912022 (70b <br />s31 <br />Received Date: Time: <br />B <br />�5(# -Z / 3/l <br />Receiv d By: Date: Time: <br />z r /A;a 2�- t-70-0 <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lando <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />